Motivational Interviewing Chapter 7

Front 1

Motivational Interviewing

Back 1

It is a relationship- centered, client -centered system of change by which a counselor utilizes various techniques and interpersonal skills known to be effective agents of change.

Front 2

CHANGE

Back 2

Is the act, processes, or results of altering or modifying

Front 3

RESISTANCE

Back 3

Is an interpersonal exchange whereby a client appears to be working against - While a counselor may seem to be arguing for change.

Usually occurs in the Pre-Contemplation or Contemplation stage

Front 4

4 PILLARS OF MOTIVATIONAL INTERVIEWING

Back 4

1) Expressing Empathy

2) Developing Discrepancy

3) Rolling With Resistance

4) Support Self- Efficacy

Front 5

MOTIVATIONAL INTERVIEWING TECHNIQUES

OARS

Back 5

Open ended questions

Affirmation

Reflective listening

Summary reflections

Front 6

3 BASIC LEVELS OF REFLECTIVE LISTENING

Back 6

1) Repeating Or Rephrasing

2) Paraphrasing

3) Reflection of feeling

Front 7

RELAPSE

Back 7

A setback that occurs during the behavior change process.

(Can be long)

Front 8

LAPSE

Back 8

An initial return to the target behavior after a period of volitional abstinence

(TEMPORARY)

Front 9

PROLAPSE

Back 9

When Problem behavior is corrected & the desired behavior re-instantiated

(After relapse)

Front 10

STRESS

Back 10

Any unpredictable or uncontrollable event that "exceeds the regulatory capacity of an organism"

and that threatens an organism's physical or psychosocial integrity

Front 11

FIVE STAGES OF ADDICTION ILLNESS-COURSE

(Addiction Cycle)

Back 11

1) Initial Experimentation

2) Shifiting From Experimentation to Regular Use

3) Escalating From Regular Use to Abuse or Dependence

4) Motivational to Quit

5) Risk of Relaspe

Front 12

MINDFULNESS-BASED RELASPE PREVENTION

(MBRP)

Back 12

Cognitive Behavioral Therapy that stresses nonjudgement attention to thoughts or urges

Front 13

Change talk

Back 13

Refers to statements or affective communications from the client that indicate a desire to make a change

Front 14

Importance Ruler

Back 14

Which clients rate their ability to change their

behavior on a scale from 1 to 10. Counselors then ask why the client chose that number rather than another one

Front 15

Decisional Balance

Back 15

1) the benefits of the status quo

2) the costs of the status quo

3) potential benefits of change

4) potential costs of change

Can be used to help clients describe the positive and negative aspects of their behavior

Front 16

Querying Extremes

Back 16

Involves asking questions that allow clients to look at the consequences of not changing, or imagining what life may look like if they did

decide to change

Front 17

Looking Back or Looking Forward

Back 17

Techniques that can lead to clients developing their own discrepancies between the past, present, and future

Front 18

DISSONANCE

Back 18

When the counselor and client are struggling with one another rather than working together

Front 19

CONSONANCE

Back 19

When the counselor and client are allied toward common goals and ideals

Front 20

FOUR PROCESS CATEGORIES OF RESISTANCE

Back 20

1) Arguing:hostile, argumentative, challenging counselor's credentials

2)Interrupting: cut off counselor

3) Negating: Excuse, blaming, putting off problem

4) Ignoring: Not paying Attention, change topic

Front 21

Advocacy talk

Back 21

Occurs when a counselor reinforces or enhances resistance talk

Front 22

Reflection Responses

Back 22

1-Simple Reflection

2-Amplified Reflection

3-Double-Sided Reflection

Front 23

Shifting Focus

(Additional MI Tools)

Back 23

Taking a step away from the issue of resistance and addressing another issue of importance but "safe topic" for the client

Front 24

Reframing

(Additional MI Tools)

Back 24

Entails restating what the client says, adding a new dimension to it

Front 25

Agreeing with a Twist

(Additional MI Tools)

Back 25

Combining a Reflection with a Reframe leads to the creation of another type of response which is AWT

Front 26

TRAPS

Back 26

*Confrontational/Denial Trap

*Expert Trap

*Labeling Trap

*Blaming Trap

*Premature Focus Trap

Front 27

Enhancing Confidence

Back 27

*Reviewing past successes

*Examining personal strengths & supports

*Creating Hypothetical change

An important step in building self-efficacy, or

belief in one’s abilities to accomplish a given task

Front 28

Strengthening Commitment

Back 28

Change Plan:

1- Set Goals

2- Consider Change of Options

3- Arrive at or Negotiate a Plan

4- Elicit a commitment

Front 29

Change Statements

Back 29

*Problem Recognition

*Concern

*Intent to Change

*Optimism